DR. LISA M KOULISH MD
NPI 1558528125
Pediatrics in White Marsh, MD

Q: What is Lisa Koulish's NPI number?

The NPI number for Lisa Koulish is 1558528125. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Lisa Koulish's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Koulish was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2008PECOS Enrolled

4924 CAMPBELL BOULEVARD, SUITE 200, WHITE MARSH, MD 21236(443) 442-2300 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Lisa M Koulish Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA M KOULISH MD (NPI 1558528125) is an individual pediatrics provider in White Marsh, Maryland, licensed in Maryland (D0067689) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558528125

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LISA M KOULISHCredential: MD

Location Address4924 CAMPBELL BOULEVARD, SUITE 200White Marsh, MD 21236

Mailing Address3100 Wyman Park DrBaltimore, MD 21211-2803 · (410) 338-3500

Phone(443) 442-2300

Sole ProprietorNo

Enumeration DateMay 20, 2008

Last NPPES UpdateNovember 30, 2015

✔ NPI 1558528125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D0067689

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4924 CAMPBELL BOULEVARD, White Marsh, MD 21236

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa M Koulish Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GREGORY B KELLY MD

Internal Medicine

4924 CAMPBELL BOULEVARD
WHITE MARSH, MD 21236

Baltimore County (443) 442-2300

MR. JOSEPH M HUBICKI PAC

Physician Assistant (Medical)

4924 CAMPBELL BOULEVARD
WHITE MARSH, MD 21236

Baltimore County (443) 442-2300

MS. MARIANNE L FINGERHOOD CRNP

Nurse Practitioner (Adult Health)

4924 CAMPBELL BOULEVARD
WHITE MARSH, MD 21236

Baltimore County (443) 442-2300

DR. MAUREEN R BURKE MD

Pediatrics

4924 CAMPBELL BOULEVARD
WHITE MARSH, MD 21236

Baltimore County (443) 442-2300

THE JOHNS HOPKINS HOSPITAL

Clinic/Center (Rehabilitation)

4924 CAMPBELL BOULEVARD, SUITE 130A
NOTTINGHAM, MD 21236

Baltimore County (443) 442-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Koulish's NPI number?

The NPI number for Lisa Koulish is 1558528125. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Lisa Koulish located?

Lisa Koulish practices at 4924 Campbell Boulevard Suite 200, White Marsh, MD 21236. The listed phone number is (443) 442-2300.

What is Lisa Koulish's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Koulish enrolled in Medicare?

Yes. Lisa Koulish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Koulish was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.